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Your doctor went to medical school for 12 years. The person denying your claim went through a two-week training module.
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Dutch Rojas
57.9K posts
Dutch Rojas
@DutchRojas
I’ve help millions of patients access healthcare by building products and services for independent physicians and employers.
United States Katılım Ocak 2012
2.2K Takip Edilen34.3K Takipçiler
@DutchRojas When physicians are owners, how do you get around Stark laws?
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Physicians could own healthcare tomorrow.
They own the patient relationship.
Then they voluntarily give away:
The facility economics.
The insurance float.
The referral economics.
The employer relationship.
The real estate upside.
The purchasing power.
The data.
Then they go online and ask why medicine feels broken.
Buddy.
You are not underpaid.
You are structurally dispossessed.
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A CFO will spend three weeks negotiating a $140,000 software contract.
The same CFO will sign a $9 million health plan renewal in an afternoon because the broker said the market is hard.
Memorial Day weekend, that CFO will post about freedom.
Tuesday morning he will wire the check.
The employees pay for both. Only one of them gets called freedom.
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I don’t know why when things are labeled electric, they need a basic design. I’ve really enjoyed Ferraris style over the years but this looks like a slightly modified model 3 with probably less connectivity and power. Unfortunate
Sawyer Merritt@SawyerMerritt
Ferrari has just officially unveiled its first ever all-electric car, called the Ferrari Luce. • Starting price: $640,000 • Interior co-designed with Apple's former head of design, Jony Ive • Range: 280 miles (expected EPA) • Peak charging speed: 350kW • 122 kWh battery • 1,050 horsepower • 0-60mph: 2.4s • 800v • Four-door four-seater • Four electric motors • OLED screens • Weight: 4,982 lbs • Front motors spin to 30,000 rpm, rears hit 25,500 rpm • Car uses an accelerometer to capture real vibrations from the electric motors & rear chassis. An algorithm filters out unpleasant frequencies and amplifies only the more “musical” sounds. This can be heard inside and outside the car. • Paddle shifter on steering wheel changes how aggressively torque is delivered, with five different levels • The trunk has 21.1 cubic feet of space, the largest luggage capacity the company has ever offered • 197.6 inches long, about as long as a Tesla Model S U.S. deliveries start in Q2 2027. More photos in the thread below:
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QME
@jason
@theallinpod
@chamath
Let’s hear a serious discussion about the economic realities of healthcare delivery in America
pls invite @DutchRojas to the podcast
Other superb knowledgeable ppl
@HeathVeuleman
@DrDiGiorgio
@mass_marion
Dutch Rojas@DutchRojas
Physician-owned hospitals are “conflicts of interest.” Health systems employing every primary care doctor in a zip code is “integrated care.” Amazing branding department.
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Physician-owned hospitals are banned unless they were grandfathered under Section 6001 of the ACA.
Even the grandfathered ones are largely handcuffed from expansion.
People say, "Doctors can still build without Medicare or Medicaid."
Fine.
In a market dominated by Medicare and Medicaid, that is like telling a restaurant it can open as long as it refuses most customers.
CMS helped freeze supply.
Then everyone acts confused about prices.
Create real-time pricing.
Let supply respond.
Let physicians own facilities.
Let buyers see the market.
That is called price discovery.
Healthcare might try it someday.
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@DutchRojas @deathmetalv10 @Ed25487010 All medical treatments and services, but only if you don't have health insurance.
It's actually easy to get an estimate from providers if you tell them you are self-pay.
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A Mom in Tulsa called 3 health systems last week asking the price of her son's tonsillectomy.
Health system A: "We cannot quote you a price."
Health system B: "Pricing depends on your insurance."
Health system C: "Our financial counselor will reach out after the procedure."
No other industry in America gets to operate this way.
Imagine ordering at a restaurant and getting the bill six weeks after dinner.
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@DutchRojas @PaulPetersonMD This is why we publish all of our prices online and tell people what the prices before they can make an informed and collaborative decision with us about their healthcare.
Kaufcare.Com/pricing
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@DutchRojas @AleaMilham I took out someone’s tonsils (and adenoid) on Friday. Total bill was $4100 (surgeon, anesthesiologist, surgery center.)
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@DutchRojas Ran into this years ago when my son was having necessary but not urgent surgery. Asked "how much" they couldn't give me an answer and just said it's my deductible. No, "how much does this cost?" I finally gave up.
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@miketermaat_ And Virginia just loves its certificate of need laws. I was certain with the king of PE, he’d get rid of it…
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@DutchRojas Healthcare is one of the only industries where consumers routinely agree to major services without having any realistic idea what the final price will be until weeks later after a maze of codes, negotiations, insurance adjustments, and surprise charges.
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@sonodoc99 @mcuban Let’s not get Cuban involved. He’ll want to talk about healthcare is a right and government breaking up everything.
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@deathmetalv10 @Ed25487010 It applies to all medical treatments and services. Search Good Faith Estimate No surprises Act.
Here is the No Surprises Fact Sheet.
cms.gov/files/document…
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@DutchRojas @Ed25487010 No surprises only applies to emergencies
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Dutch Rojas retweetledi
This sounds familiar.
We used to be able to settle a bill before a pt left. Now, we cant even tell them how much has been charged. That access was taken away.🤔
Dutch Rojas@DutchRojas
A Mom in Tulsa called 3 health systems last week asking the price of her son's tonsillectomy. Health system A: "We cannot quote you a price." Health system B: "Pricing depends on your insurance." Health system C: "Our financial counselor will reach out after the procedure." No other industry in America gets to operate this way. Imagine ordering at a restaurant and getting the bill six weeks after dinner.
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Dutch Rojas retweetledi
42.9% of our active duty military is 25 and under. Another 21.7% is 26 to 30.
Total US military deaths from 1775 to the present are estimated at roughly 1.3 million (battle + non-battle), with around 650,000–670,000 battle deaths.
The vast majority of these deaths are individuals under 30.
GIF
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@Laffincrow Family of 3 from marketplace. Our deductible is 10K individual/21K family.
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This is a Priority Health Narrow Network insurance. They are "covered" at 1 health system & it isn't ours. Someone w a family of 5 pays for this from the marketplace. Look at those deductibles & oop.
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@DutchRojas That's not usually how this works. You need to get the procedure codes, then insurance will be able to tell you what you are responsible for. Is it a pain? Yes. Is it usually possible? Also yes
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@ruthefordml Doctors are not experts in healthcare. They are medical experts.
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Healthcare is probably the only profession where people think it's okay to argue what the professionals on what they know. Nobody argues quantum physics with physicists, or law with lawyers. But everyone is an expert in healthcare.
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@DutchRojas Such garbage. I have had three "balance due" notices after the doc tells me the "cost" and I pay it, FFS. There is no transparency.
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If she has insurance, the hospital has to take it. The no surprises act says you only have to give a cash price if someone doesn’t have insurance. To calculate what it would cost her it depends on her insurance contract with the hospital, the surgeon and the anesthesiologist and how much of her deductible has been paid. This should be able to be calculated instantaneously but it isn’t as all these system are separate and almost unrelated except by billing.
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@amy60167 @HeathVeuleman We got it sorted. And I heard they sold out.
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@DutchRojas @HeathVeuleman She should call Tulsa Spine and specialty hospital. Physician owned.
The big three- SFH, SJH, and Hillcrest are horrible to work with financially.
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